quiz #2 - hints

Question 1

pubic symphysis (pubic) joint - type & movements

Answer 1

cartilaginous, symphysis, amphiarthrosis, uniaxial

gliding, little motion (2mm), increases during pregnancy
-superior & inferior glide, separation, distraction, compression

Question 2

pubic symphysis (pubic) joint - articular surfaces

Answer 2

symphyseal surfaces covered by hyaline of two pubic bones with fibrocartilaginous disc in between

Question 3

pubic symphysis (pubic) joint - ligaments

Answer 3

superior pubic ligament & inferior (arcuate) pubic ligament, fibrocartilaginous disc

Question 4

pubic symphysis (pubic) joint - loose & close packed position, capsular pattern

Answer 4

no loose/ close packed

capsular pattern: pain when joint is stressed

Question 5

pubic symphysis (pubic) joint - inferior glide of pubic bone via leg pull: leg position

Answer 5

leg in slight flexion, ADD & internal rotation

place foot of opposite leg against thigh to stabilize

Question 6

pubic symphysis (pubic) joint - distraction of pubic symphysis (indirect)

Answer 6

1. 1/2 strength, repeat 3-5x
2. 3/4 strength, repeat 3-5x
3. full strength, repeat 3-5x

Question 7

AF joint - medial glide of femur

Answer 7

EFFECT: increase hip ABD, pain management
PRECAUTIONS: if SI or pubic symphysis unstable, L spine should be neutral to avoid injury
*patient is side lying
-stabilizing hand: distal femur, medial knee
-mobilizing hand: soft contact to direct mobilization of trochanter inferiorly & medially while distracting
*suggestions: lower table, use body weight to direct mobilization, axial distraction first

Question 8

AF joint - axial distraction: leg position

Answer 8

externally rotate leg

Question 9

SI joint - inferior glide of ilium on sacrum: leg position

Answer 9

leg in slight ABD & internal rotation

Question 10

tibiofemoral (knee) joint - axial distraction of tibia on femur: CI’s

Answer 10

patient seated, hand placement proximal to ankle

Question 11

tibiofemoral (knee) joint - anterior glide of tibia on femur: CI’s

Answer 11

CI’d for ACL injury or damage

Question 12

tibiofemoral (knee) joint - posterior glide of tibia on femur: CI’s

Answer 12

CI’d for PCL injury or damage

Question 13

tibiofemoral (knee) joint - medial & lateral glide of tibia: CI’s

Answer 13

do not allow femur to rotate medially

Question 14

patellofemoral joint - inferior & superior glide: CI’s

Answer 14

do not compress patella or force knee into extension (hyper extension; superior)

Question 15

patellofemoral joint - medial glide: CI’s

Answer 15

CI’d if previous dislocations, do not force knee into hyperextension & discontinue if painful

Question 16

proximal tibiofibular joint - posterior & anterior glide of fibula: CI’s

Answer 16

do not apply too much pressure to fibular head due to common peroneal nerve nearby

Question 17

tibiofemoral (knee) joint - medial & lateral glide of tibia: EFFECT

Answer 17

increase knee flexion & extension